Basic Information
Provider Information
NPI: 1992745756
EntityType: 2
ReplacementNPI:  
OrganizationName: CARMEN P ARANGO MD PA
LastName:  
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Mailing Information
Address1: 5959 GATEWAY WEST
Address2: STE 120
City: EL PASO
State: TX
PostalCode: 799253315
CountryCode: US
TelephoneNumber: 9157791716
FaxNumber: 9157716558
Practice Location
Address1: 643A S MESA HILLS
Address2:  
City: EL PASO
State: TX
PostalCode: 799125540
CountryCode: US
TelephoneNumber: 9158567533
FaxNumber: 9152172689
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 03/07/2008
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ARANGO
AuthorizedOfficialFirstName: CARMEN
AuthorizedOfficialMiddleName: PEREZ
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9158567533
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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